| Robert Rothbaum, MD | |
|
2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | |
| (920) 457-4461 | |
| Not Available |
| Full Name | Robert Rothbaum |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 9 Years |
| Location | 2414 Kohler Memorial Dr, Sheboygan, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679921381 | NPI | - | NPPES |
| 100284235 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036.153199 (Illinois) | Secondary |
| 207N00000X | Dermatology | 3873-320 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Rothbaum, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Robert Rothbaum, MD 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461 |
Dr. Kevin Scott Myers, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1440 N 25th St, Sheboygan, WI 53081 Phone: 920-457-9100 Fax: 920-457-1461 | |
Dr. Jeanne Marie Valicenti, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1418 | |
Dr. Susan Ann Keiler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1440 N 25th St, Sheboygan, WI 53081 Phone: 920-457-9100 Fax: 920-457-1461 | |
Daniel R Opel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Dr. Aloys Louis Tauscheck Jr., M.D.,J.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1414 N Taylor Dr, Suite 144, Sheboygan, WI 53081 Phone: 920-457-3376 Fax: 920-458-6510 | |
Suzanne T Mcgoey, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2920 Superior Ave, Sheboygan, WI 53081 Phone: 920-457-9634 |